Organizational Principles to Guide and Define the Child Health Care System and/or Improve the Health of All Children Committee on Substance Abuse and Committee on Adolescence

Legalization of Marijuana: Potential Impact on Youth
ABSTRACT
As experts in the health care of children and adolescents, paediatricians may be called on to advise legislators concerning the potential impact of changes in the legal status of marijuana on adolescents. Parents, too, may look to paediatricians for advice as they consider whether to support state-level initiatives that propose to legalize the use of marijuana for medical purposes or to decriminalize possession of small amounts of marijuana. This policy statement provides the position of the American Academy of Paediatrics on the issue of marijuana legalization, and the accompanying technical report (available online) reviews what is currently known about the relationship between adolescents’ use of marijuana and its legal status to better understand how change might influence the degree of marijuana use by adolescents in the future.

1. Any change in the legal status of marijuana, even if limited to adults, could affect the prevalence of use among adolescents.

2. For example, tobacco and alcohol products, both legal for adults 18 and 21 years of age, respectively, are the psychoactive substances most widely abused by adolescents. Marijuana currently is classified by the US Drug Enforcement Agency as a schedule I drug, which means that it has a high potential for abuse, has no currently accepted medical use in the United States, and lacks accepted safety for use under supervision by a physician. Rigorous scientific research to determine whether marijuana, especially cannabinoids, has any potential therapeutic effect is just beginning. In contrast, the significant neuropharmacologic, cognitive, behavioral, and somatic consequences of acute and long-term marijuana use are well known and include negative effects on short-term memory, concentration, attention span, motivation, and problem solving, which clearly interfere with learning; adverse effects on coordination, judgment, reaction time, and tracking ability, which contribute substantially to unintentional deaths and injuries among adolescents (especially those associated with motor vehicles); and negative health effects with repeated use similar to effects seen with smoking tobacco More information, including historical perspectives on the legal status of marijuana as well as concerns surrounding medicinal use of marijuana, is available in an accompanying technical report (available online).
Source:Paediatrics 2004;113:1825–1826; marijuana, legalization, substance abuse, decriminalization.